A patient admitted with diagnosis of pericarditis develops hypotension, shortness of breath, tachycardia, distended neck veins. Which of the following procedures with the nurse anticipate assisting for this emergent situation?
Endovascular graft procedure
Pericardiocentesis
Transesophageal echocardiogram
Peritoneal dialysis
The Correct Answer is B
A. An endovascular graft procedure is used to treat conditions such as abdominal aortic aneurysms or other vascular issues by placing a graft within the blood vessels. It is not related to the treatment of pericarditis or cardiac tamponade.
B. Pericardiocentesis is a procedure used to remove excess fluid from the pericardial space to relieve pressure on the heart. This is an emergent intervention for cardiac tamponade and would be the appropriate procedure to assist with in this situation. It involves inserting a needle through the chest wall into the pericardial space to aspirate the fluid, which helps to restore normal heart function and improve symptoms.
C. A transesophageal echocardiogram is an imaging procedure used to obtain detailed images of the heart and its structures. While it is useful for assessing cardiac conditions and can help diagnose cardiac tamponade, it is not a treatment.
D. Peritoneal dialysis is a procedure used to remove waste products and excess fluid from the blood when the kidneys are not functioning properly. It is not related to the management of pericarditis or cardiac tamponade.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Rheumatic fever is a complication that can arise from untreated or inadequately treated streptococcal pharyngitis (strep throat). Educating community members about the importance of seeking medical treatment for strep throat is crucial because timely antibiotic treatment can prevent the development of rheumatic fever.
B. Prophylactic antibiotics are often recommended for individuals who have had rheumatic fever or have a family history of the condition to prevent recurrence. While this is important for secondary prevention in high-risk individuals, it is more of a targeted approach rather than a broad community health strategy.
C. Currently, there is no widely available vaccine specifically for streptococcal infections or rheumatic fever. Research is ongoing, but no vaccine has been proven effective and available for general use in preventing streptococcal infections.
D. Monitoring temperature during a sore throat can help identify an infection, but it does not directly address the prevention of rheumatic fever. The key issue is ensuring that sore throats are evaluated and treated appropriately to prevent complications like rheumatic fever.
Correct Answer is ["B","C","E"]
Explanation
A. Furosemide is a loop diuretic used to manage fluid overload, often seen in conditions like heart failure. While it can be helpful for patients with heart failure or fluid retention, it is not a primary medication for the acute management of STEMI.
B. Nitroglycerin is a vasodilator used to relieve chest pain and reduce myocardial oxygen demand by decreasing the workload of the heart. It is commonly administered to patients with STEMI to manage angina and help improve blood flow to the heart.
C. Aspirin is a crucial medication in the management of STEMI. It works by inhibiting platelet aggregation, which helps to prevent further clot formation in the coronary arteries. Aspirin is typically given as soon as a myocardial infarction is diagnosed to minimize the extent of heart damage and reduce the risk of further thrombotic events.
D. Penicillin is an antibiotic used to treat bacterial infections. It is not used in the management of STEMI because myocardial infarctions are not caused by bacterial infections. Penicillin would not be relevant for treating or managing a STEMI.
E. Morphine is an opioid analgesic used to relieve severe pain associated with STEMI. It helps reduce pain, anxiety, and myocardial oxygen demand by causing vasodilation. It also helps manage symptoms and improve patient comfort.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.